| Name Of the Firm : | Pawan Putra MedicallStore |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Patta no-12,Survey no-57,Brahmanagar chhak,New Bus stand road,Berhampu |
| RP Name : | Sri Nirakar Sahu |
| Registration Number : | 21485(OPC) |
| Competent Person : | |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sri Santosh Kumar Behera |
| R : | GAI 5506 |
| RC : | GAI 5507 |
| RX : | GAI 5508 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2011.04.01 |
| Date of Expiry : | 2017.08.31 |
| Remarks : |